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Related Concept Videos

Nursing Assessment of the Genitourinary System II: Inspection and Palpation01:26

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The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
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Related Experiment Video

Updated: Dec 8, 2025

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
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The Buford complex: prevalence and relationship with labral pathologies.

Mustafa Özer1, A Yigit Kaptan2, M Baybars Ataoglu3

  • 1Department of Orthopaedics & Traumatology, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey.

Journal of Shoulder and Elbow Surgery
|September 19, 2020
PubMed
Summary
This summary is machine-generated.

The Buford complex, found in 2.65% of shoulders, is significantly associated with superior labrum anterior-posterior (SLAP) lesions. Its prevalence in asymptomatic shoulders is low (0.3%), suggesting careful evaluation for SLAP tears when identified.

Keywords:
Buford complexSLAP lesionsanterior instabilitylabrummiddle glenohumeral ligamentposterior instability

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Radiology

Background:

  • The Buford complex is an anatomical variant of the middle glenohumeral ligament.
  • Its association with labral pathologies, particularly SLAP lesions, requires further investigation.
  • Accurate prevalence data is crucial for understanding its clinical significance.

Purpose of the Study:

  • To determine the prevalence of the Buford complex in a large patient cohort.
  • To investigate the association between the Buford complex and specific labral pathologies, including SLAP lesions and instability.
  • To ascertain the prevalence of the Buford complex in asymptomatic shoulders.

Main Methods:

  • Retrospective analysis of 3129 shoulder arthroscopy procedures.
  • Evaluation for the presence of the Buford complex and coexisting labral pathologies.
  • Statistical analysis to assess the relationship between the Buford complex and labral pathologies.

Main Results:

  • The Buford complex was identified in 2.65% of shoulders.
  • SLAP lesions were significantly more common in patients with the Buford complex (81.9%) compared to those without (33.1%).
  • The prevalence of the Buford complex was higher in shoulders with labral pathologies (4.6%) than in asymptomatic shoulders (0.3%).

Conclusions:

  • The study reports the largest cohort to date on Buford complex prevalence (2.65%).
  • The low prevalence in asymptomatic shoulders (0.3%) suggests a potentially overestimated prevalence in prior literature.
  • Identification of the Buford complex warrants a thorough evaluation for associated SLAP lesions.